NPIMap

Individual provider Active NPI

Kristin Mildred Mitchell

  • Internal Medicine Physician
  • Soldotna, AK
National Provider Identifier
1023054061
Registry record updated Jul 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4159 Issued in AK
Practice address
247 N Fireweed
Ste a Peninsula Internal Medicine PC
Soldotna, AK 99669-7593
Phone
(907) 262-8597
Fax
(907) 262-6516
NPI assigned
Jun 20, 2006
Last updated
Jul 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4159 AK Primary

Addresses

Primary practice location

247 N Fireweed
Ste a Peninsula Internal Medicine PC
Soldotna, AK 99669-7593

Mailing address

247 N Fireweed
Ste a
Soldotna, AK 99669-7593
Phone (907) 262-8597

Other identifiers 2

IdentifierTypeStateIssuer
110177356OtherRAILROAD MEDICARE
MD0720MedicaidAK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kmitchell93482@ak.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100312000439 AK Practitioner - Internal Medicine 4587552468 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of California, San Francisco School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

240 Hospital PL
Soldotna, AK 99669-7559
Phone (907) 714-4090

247 N Fireweed St
Suite a
Soldotna, AK 99669-7593
Phone (907) 262-8597

250 Hospital PL
Soldotna, AK 99669-7559
Phone (907) 714-4515

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75.44 of 100Reported as group
Quality
62.56
Promoting interoperability
81
Improvement activities
40
Cost
67.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
North Star Medical Imaging PLLC Current Accepting new patients
Central Peninsula General Hospital, Inc CurrentSince Mar 2, 1999 Accepting new patients
Central Peninsula General Hospital Inc. Current Accepting new patients
Central Peninsula General Hospital Inc CurrentSince Mar 2, 1999 Accepting new patients
Alaska Hospitalist Group LLC Internal Medicine CurrentSince May 3, 2014 Accepting new patients
Central Peninsula General Hospital, Inc Internal Medicine Past Accepting new patients

Locations

4300 B St
Ste 200
Anchorage, AK 99503
Phone (907) 276-1131

232 W Rockwell Ave
Soldotna, AK 99669
Phone (907) 375-3355

247 N Fireweed St
Ste A
Soldotna, AK 99669
Phone (907) 262-8597

250 Hospital Pl
Soldotna, AK 99669
Phone (907) 714-4404

Interoperability endpoints

  • Direct secure messaging: kmitchell93482@ak.providencedirect.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 20

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595376000000",
    "number": "1023054061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 N FIREWEED",
            "address_2": "STE A",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697593",
            "telephone_number": "907-262-8597",
            "fax_number": "907-262-6516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 N FIREWEED",
            "address_2": "STE A PENINSULA INTERNAL MEDICINE PC",
            "city": "SOLDOTNA",
            "state": "AK",
            "postal_code": "996697593",
            "telephone_number": "907-262-8597",
            "fax_number": "907-262-6516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL",
        "first_name": "KRISTIN",
        "middle_name": "MILDRED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-20",
        "last_updated": "2020-07-22",
        "certification_date": "2020-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "4159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110177356",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MD0720",
            "state": "AK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmitchell93482@ak.providencedirect.org",
            "affiliation": "N",
            "endpointDescription": "Provider direct messaging address",
            "address_1": "247 N Fireweed",
            "address_2": "Ste A Peninsula Internal Medicine PC",
            "city": "Soldotna",
            "state": "AK",
            "country_code": "US",
            "postal_code": "996697593",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Soldotna, AK

Sources for this page

Verify at the official NPI Registry.